This study provides information on the comparative utility of a commonly used perinatalspecific depression instrument the edinburgh postnatal depression scaleepds with a general depression screener patient health questionnaire9phq9 in a sample of perinatal women seeking psychiatry services within a large health care system. Not at all several days more than half the days nearly every day 1. The first aim of this study was to psychometrically test the phq9 in a large sample of cancer patients. The 12month incidence and predictors of phq9screened. Phq9 patient depression questionnaire for initial diagnosis. Pdf the psychometric properties of phq4 depression and. Jun 01, 2010 the patient health questionnaire phq 9 and the depression subscale of the hospital anxiety and depression scale hadsd are commonly used in primary care. Over the last two weeks, how often have you been bothered by any of the following problems. Mood scale phq over the last 2 weeks, how often have you been bothered by any of the following problems.
Patient health questionnaire 9 phq 9 over the last 2 weeks, how often have you been bothered by any of the following problems. The phq8 as a measure of current depression in the general population. Phq9 depression scale university of washington aims center. The phq9 dep9 in some sourcesis a 9question instrument given to patients in a primary care setting to screen for the presence and severity of depression. The phq 9 score also helps quantify the severity of depression. Intercorrelations with somatization were highest with depression r0. Refer to the accompanying phq9 scoring box to interpret the total score. It is the selfreport version of the primary care evaluation of mental disorders primemd, a diagnostic tool developed in the mid1990s by. The phq9 was developed for use in primary care settings. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Patient completes phq9 quick depression assessment on accompanying tearoff pad. The phq 9 depression screener is available here in english, and a version with instructions for healthcare. Variations, taking into account individual circumstances, may be appropriate. Thus, our article focuses on the phq9 depression, gad7 anxiety, and phq15 somatic symptom scales, drawing on data from both the original studies and other subsequent studies in the literature.
The phq 9 is the nine item depression scale of the patient health questionnaire1. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. First hand help in depression or other mental disorders is offered usually in primary care settings and then the patient is referred to a specialist, either a psychologist or psychiatrist. Physician uses clinical judgment about treatment, based on patients duration of symptoms and functional impairment. Phq2 depression scale the patient health questionnaire 2 phq2 is used by some clinicians and organizations to screen patients for undiagnosed depression.
The patient health questionnaire 2 item phq 2 is an ultrabrief screening instrument containing the first two questions from the phq 9 3 two screening questions to assess the presence of a depressed mood and a loss of interest or pleasure in routine activities, and a positive response to either question indicates further testing is required. The phq9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day. Seven items, each of which is scored 0 to 3, providing a 0 to 21 severity score. Standardization of a screening instrument phq15 for. The diagnostic validity of the phq has recently been established in 2 studies involving 3,000 patients in 8 primary care clinics and 3,000 patients in 7 obstetricsgynecology clinics. Request pdf dimensional versus categorical use of the phq9 depression scale among persons with nonsmallcell lung cancer. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention.
Spanish personal health questionnaire depression scale phq8. Phq 9 patient questionnaire phq 9 may be used when a clinician suspects depression andor the twoquestion screen is positive. Phq 9 can be selfadministered by the patient before, during, or after the office visit. Initial visit tool 2 form for recording initial findings about the patient with possible depression phq 9 flow chart tool 3 tracking tool for phq 9 monitoring of depression response to treatment patient. The phq9 is the nine item depression scale of the patient health questionnaire1. The phq 9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day.
The phq 9 and the work and social adjustment scale wsas were used and exploratory and semiconfirmatory factor analyses of the phq 9 were performed. This easy to use patient questionnaire is a selfadministered version of the primemd diagnostic instrument for common mental disorders. It includes 20 selfreport items, scored on a 4point scale, which measure major dimensions of depression experienced in the past week. If the score is 2, an additional 10item scale can be. The macarthur initiative on depression and primary care at. Comparative performance of the edinburgh postnatal depression. Phq 9 quick depression assessment for initial diagnosis. It is based directly on the it is based directly on the diagnostic criteria for major depressive disorders in diagnostic and statistical manual fourth edition dsmiv 2. We call this composite measure the patient health questionnaire somatic, anxiety.
Depression should not be diagnosed or excluded solely on the basis of a phq 9 score. A plandostudyact model was utilized for the implementation of this initiative. Phq9 can be selfadministered by the patient before, during, or after the office visit. Nine items, each of which is scored 0 to 3, providing a 0 to 27 severity score. Consider major depressive disorder if there are at least five 3s in the shaded section one of which. It is the 9 question depression scale from the patient health questionnaire phq. The results of the phq 9 may be used to make a depression diagnosis according to dsmiv criteria and. Phq 2 depression scale the patient health questionnaire 2 phq 2 is used by some clinicians and organizations to screen patients for undiagnosed depression. A depression rating scale is a psychiatric measuring instrument having descriptive words and phrases that indicate the severity of depression for a time period. Comparative performance of the edinburgh postnatal. A tool for the overdiagnosis of depression physicians and other clinicians like to have quick and easy screening tools for common disorders. The phq 9 dep 9 in some sources is a 9 question instrument given to patients in a primary care setting to screen for the presence and severity of depression.
Patient health questionnaire phq9 british columbia. The phq 9 is intended as a tool to assist clinicians with identifying and diagnosing depression but is not a substitute for diagnosis by a trained clinician. The phq9 is the depression module, which scores each of the nine diagnostic criteria for major depression in diagnostic and statistical manual fourth edition as 0 not at all to 3 nearly every day. Depression screening by a nineitem patient health questionnaire phq9 in adults. Guide for interpreting phq9 scoresof the first nine items, 1. How to score the patient health questionnaire phq9.
Patient completes phq 9 quick depression assessment on accompanying tearoff pad. Phq 9 patient depression questionnaire for initial diagnosis. The results of the phq9 may be used to make a depression diagnosis according to dsmiv criteria and takes less than 3 minutes to complete. The phq 9 can be selfadministered or clinician administered. Assessment of depression severity with the phq9 in cancer. Rather than being used to diagnose depression, a depression rating scale may be used to assign a score. Learn more about the questions, the score interpretation and first aid in depressive conditions below the tool. Therefore forms like the phq 9 are considered to have good diagnosis sensitivity and allow both the patient and the clinician assess the current condition.
The phq9 has been validated for use in primary care settings and can be used to make a tentative diagnosis of depression and to monitor depression severity and response to treatment in the past 2 weeks. Phq9 scoring card for severity determination instructions for use for doctor or healthcare professional use only phq9 quick depression assessment for initial diagnosis. The intercorrelations between the phq15 total score and the phq9 depression scale, the sf12 for the assessment of quality of life physical and mental factor, and the satisfaction with life scale are summarized in table 2. Patient health questionnaire phq 9 for depression using phq 9 diagnosis and score for initial treatment selection a depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorsed as positive little pleasure, feeling depressed indicating the. The patient health questionnaire phq 9 is a brief, 9item selfreport screening tool that may help identify symptoms that could relate to depression. The center for epidemiologic studies depression scale cesd was designed for use in the general population and is now used as a screener for depression in primary care settings.
The patient health questionnaire phq9 is a scale whose. Brief description selfadministered 9item instrument based on the nine dsmv criteria listed under criterion a for major depressive disorder. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. Dimensional versus categorical use of the phq9 depression. An informal educational intervention about administration and interpretation of the phq9 first took. Implementation barriers of the phq9 in primary care. The second aim was to calculate unbiased estimates of the depression burden for several cancer groups taking into account age and gender distributions. The nine items cover experience of pleasure, feeling down, sleep disruption, energy levels, appetite, feeling a failure, trouble. The video demonstrations show a care manager administering the phq 9 to a primary care patient in the initial visit and in the followup visit. Phq 9 patient health questionnaire calculator this phq 9 patient health questionnaire calculator assesses depression severity and whether the patient suffers from similar disorders. If the score of these two questions is 3, the phq9 should be administered for additional assessment. Patient completes phq9 quick depression assessment. The phq9 is a 9item questionnaire used to screen for, monitor, diagnose, and measure the severity of depressive symptoms.
The patient health questionnaire somatic, anxiety, and. We call this composite measure the patient health questionnaire somatic, anxiety, and depressive symptom scales phqsads. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Patient completes phq 9 quick depression assessment. A pilot study including qualityoflife comparisons the debate over. Aim to compare the efficacy of hadsd and phq 9 in identifying moderate to severe depression among primary care patients with type 2 diabetes. Guide for interpreting phq 9 scoresof the first nine items, 1.
Instruction manual instructions for patient health. Phq9 patient questionnaire phq9 may be used when a clinician suspects depression andor the twoquestion screen is positive. The phq9 score also helps quantify the severity of depression. Phq9 quick depression assessment for initial diagnosis. Patient health questionnaire 9 phq9 aims care partners. Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. The patient health questionnaire phq9 is a widely used instrument to screen for depression in clinical research. Scoring add up all checked boxes on phq9 for every checkmark not at all 0.
Tools depression screen tool 1 a twoquestion screen to determine the possibility of depression in patients depression evaluation. The phq9 is a brief, 9item scale that includes only the depressionrelated items from the phq. The instrument aids in guiding criteria based diagnosis of depressive symptoms, can assist in identifying treatment goals, determining severity of symptoms, as well as. The lack of knowledge regarding psychometric characteristics of brief scales for assessing the severity of symptoms of depression for the portuguese population limits the ability of health professionals to signal clinically relevant situations, as well as the implementation of alternative forms of mental health care.
When used, an observer may make judgements and rate a person at a specified scale level with respect to identified characteristics. In the phq study, the area under the curve for major depression was 0. References kroenke k, strine tw, spritzer rl, williams jb, berry jt, mokdad ah. Initial visit tool 2 form for recording initial findings about the patient with possible depression phq9 flow chart tool 3 tracking tool for phq9 monitoring of depression response to treatment patient. The patient health questionnaire phq9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Guide for interpreting phq9 scores score action 04 the score suggests the patient may not need depression treatment 514 mild major depressive disorder. Sep 01, 2002 in the phq study, the area under the curve for major depression was 0. It is the 9question depression scale from the patient health questionnaire phq. Spanish personal health questionnaire depression scale. The patient health questionnaire phq is a multiplechoice selfreport inventory ed by pfizer inc, that is used as a screening and diagnostic tool for mental health disorders of depression, anxiety, alcohol, eating, and somatoform disorders. One of the most common mental disorders is major depression, so there is an understandable desire for a tool that can give the clinician a quick sense of whether there might be a problem. In the uk, the quality and outcomes framework provides incentives for gps to use validated questionnaires to identify people with depression, including those with existing heart disease or diabetes. How to score the patient health questionnaire phq9 guide.
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